19676_STACKHOUSE, J. W_19990621

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CAMA AND DREDGE AND FILL
GENERAL
PERMIT
as authorized b h North
y the State of N Carolina
Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC
Applicant Name ��' ` fC°r.C�aa�L'' Phone Number �fy6"
Address
City '�t�i��7c�n-./ �. �, State Zip 4`7e
Project Location (County, State Road, Water Body, etc.) C'al�"'''
Type of Project Activity
12 'y 6 '' x
PROJECT DESCRIPTION I SKETCH / O!
Pier (dock) length
Groin length
number
Bulkhead length
max. distance offshore
Basin, channel dimensions
cubic yards
Boat ramp dimensions
Other jt 75�%y
iL
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
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applicant's signature
permit officer's signature
issuing date expiration date
attachments O;W /700
In issuing this permit the State of North Carolina certifies that N
this project is consistent with the North Carolina Coastal application fee �G _ �r,Pr C
Management Program.

DEREK S. SMITH
NC 7836496 PH 919-247-4428
107 HAWTHORNE DR
1626
PINE KNOLL SHORES, NC 28512
66-152/531
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DATE •� �/ ��
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Y TO THE / ,� /
DER OF,,.. vvvvvv
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DOLLARS $eCYf"v mew e.
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L�WZchovia
nk of Norlh Carolina, N.A.
.. NNIC 28555' %� V Q C(�/ t- •0&S294 546L L L32L411■ L626
OHAAI NO

ADJACEN-r RIPARIAN PIMPERTY OWNER STATErirNrr
I hereby certify that I own property adjacent to I
(Name or Property Owner)
property located at /O ,�4 sE54T Ac 1—= 1--..4A1 FE S©t-s-
(Lot, Block, Road, etc.)
onG_ Q�y�L. o� f366UAW Satyr — N.C.
(Waterbody) (Town and/or County)
6
He has described to me as shown below, the development he is proposing at that location,
and, I have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual propo
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------------------------------------------------------------------------------------------------------------------
Signature
Print or Type Name
Telephone Number
Date: (O 4�
____j

ADJACEMr RIPARIAN PROPERTY OWNER STATENLENr
I hereby certify that I own property adjacent to J-.,k) . 57�{e__guAidE 's
• (Name of Property Owner)
roperty Iocated at /Q 174 SE 4T—RAc P—= !_.. " N ►� v/ 00 -
(Lot, Block, Road, etc.)
on G_ 4wki-- tw—� /3c�&u.1w aix. 1 N.C.
(Waterbody) (Town and/or County)
s
He has described to me as shown below, the development he is proposing at that location,
arid, I have no objections to his proposal.
DESCRIPTION A 11D/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by indiiidual propoefopmenO
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C-AA,, AL
tgnature
SdAVORd u" r L Demo l-
Print or Type Name
Asa 10 0/-
Telephone Number
Date: (' 0 b,